| NPI | 1861706087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELAINE NYDAM President 707-539-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 3306897) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |